后腹腔镜离断式肾盂成形术对小儿肾盂输尿管连接部狭窄的效果评价

目的 研究后腹腔镜离断式肾盂成形术对小儿肾盂输尿管连接部狭窄的干预效果.方法 抽选2013年6月至2015年6月本院收治的肾盂输尿管连接部狭窄患儿126例,随机法分为观察组(n=63)和对照组(n=63),对照组行开放性离断肾盂成形术,观察组行后腹腔镜离断式肾盂成形术治疗,比较两组患儿手术时间、术中出血量、住院时间、肠道功能恢复时间及并发症发生率.结果 观察组手术时间(103.6±28.4) min、出血量(42.5±23.6) ml、住院时间(7.0±2.5)d及肠道功能恢复时间(2.1±1.6)d均显著短于对照组,差异有统计学意义(P＜0.05).观察组并发症率与对照组(1.6％vs.6.3％)比较差异无统计学意义(P＞0.05).结论 采用后腹腔镜离断式肾盂成形术治疗小儿肾盂输尿管连接部狭窄手术时间短、术后恢复快,疗效显著,安全性高.

Intervention effect of retroperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty on children with ureteropelvic junction obstruction

Objective To study the intervention effect of retroperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty on children with ureteropelvic junction obstruction.Methods 126 children with ureteropelvic junction obstruction in our hospital from June 2013 to June 2015 were randomly divided into observation group (n=63) and control group (n=63).Control group underwent Anderson-Hynes dismembered pyeloplasty,while observation group underwent retroperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty.Compared operation time,the amount of bleeding,hospitalization time,intestinal function recovery time,and the incidence of complications of two groups.Results The operation time of observation group was (103.6±28.4)min,the amount of bleeding was (42.5±23.6)ml,the hospitalization time was (7.0±2.5)d,and intestinal function recovery time was (2.1±1.6)d,all significantly less than those of control group,with statistically significant differences (P＜0.05).There was no statistically significant difference in the incidence of complications between observation group and control group (1.6％ vs.6.3％,P＞0.05).Conclusion Retroperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty in the treatment of children with ureteropelvic junction obstruction has the advantages of short operation time,postoperative fast recovery,remarkable curative effect,and high safety.